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Leaderboard: Pediatric Nursing NCLEX Challenge Exam (Quiz #7: 40 Questions)
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Question 1 of 40
1. Question
1 point(s)As a nursing professional within an endocrine unit, you are assigned to the care of Emily, a 14-year-old young female, recently diagnosed with Turner Syndrome, a chromosomal disorder affecting females. To address the growth limitations associated with her condition, Emily has been initiated on a regimen of Somatropin (Humatrope), a recombinant growth hormone intended to foster height augmentation and developmental progress. Concurrently, Emily has a medical history nuanced by congenital heart anomalies and a mild degree of renal impairment. Given the intricacies of her medical history interwoven with her novel therapeutic regimen, you are called to assess and monitor for potential adverse reactions or interactions stemming from Somatropin (Humatrope) administration. As the nurse, what sign or symptom should be accorded your utmost vigilance, given its potential ramifications in the context of Emily’s intricate medical backdrop?
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Question 2 of 40
2. Question
1 point(s)While engaging in a comprehensive assessment at a pediatric health clinic, Nurse Sheila encountered young Andres, whose physical stature and features piqued her concern. Andres presented notably petite, exhibiting a youthful countenance and a corpulent physique, contrasting with his chronological age. According to his parents, Andres’ rate of growth across all bodily dimensions had been lagging, albeit his proportions and cognitive capabilities remained congruent to age-appropriate standards. Upon reviewing Andres’ medical record, Nurse Sheila noted that there were no pertinent familial histories of endocrine disorders, nor were there any previous concerns regarding Andres’ electrolyte balances from previous blood tests. However, Andres was born prematurely at 30 weeks gestation. Given the clinical observations and historical data, Nurse Sheila postulates a potential hormonal deficiency at play. Which hormone deficit would be the most plausible in accounting for Andres’ delayed growth despite normal proportions and intellectual development?
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Question 3 of 40
3. Question
1 point(s)In a regional pediatric endocrine clinic, you encounter the case of Lila, a 10-year-old girl brought in by her parents due to concern regarding her stunted growth compared to her peers. Lila’s birth history is unremarkable, and she met all her developmental milestones within normal limits. However, over the last two years, a noticeable divergence in her growth pattern compared to her age-group cohorts has emerged. Her school performance remains above average, and no other systemic symptoms are reported. Physical examination reveals a child with proportional short stature, with her height measuring below the third percentile for her age. No dysmorphic features are apparent, and her body proportions are normal. Her bone age, assessed by an X-ray of the left wrist, is reported to be 2 years delayed. The case intrigues you to delve into an extensive hormonal work-up to ascertain the etiological underpinning of her stunted growth trajectory. Given this clinical narrative, you hypothesize that a deficit in growth hormone might be implicated in Lila’s condition. Which of the following etiological domains are most likely associated with a scenario of growth hormone deficiency manifesting as short stature and decelerated growth pace in a growing child like Lila?
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Question 4 of 40
4. Question
1 point(s)In a specialized pediatric endocrine clinic, Nurse Adams engages with Mr. Lopez regarding the care and well-being of his 7-year-old son, diagnosed with Turner syndrome, a genetic condition primarily affecting females, marked by a missing or partially missing X chromosome. The boy exhibits characteristic features including short stature and delayed pubertal development. Mr. Lopez shared his son’s burgeoning interest in ball games and his own supportive stance toward this. However, his spouse has reservations, stemming from the palpable size disparity between their son and his age-matched peers, fearing potential endangerment in a sports setting. This family scenario prompts Nurse Adams to chart out anticipatory guidance meticulously to ensure a holistic approach balancing the child’s physical health, safety, and psychosocial well-being. In orchestrating an anticipatory guidance blueprint for Mr. and Mrs. Lopez, Nurse Adams should enunciate which of the following considerations?
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Question 5 of 40
5. Question
1 point(s)In the midst of a bustling endocrinology unit, you come across the case of Ruby, a 46-year-old female, entrenched in a long-term management plan for hypothyroidism entailing thyroid hormone replacement therapy. Recently, Ruby encountered the onslaught of a virulent flu, confining her to bed and muddling her usually meticulous medication regimen, leading to inadvertent skipping of her thyroid replacement doses for several days. Upon being admitted, her husband revealed Ruby’s cognitive fog and lethargy, which he initially attributed to her viral ailment, but with growing concern, he sought medical evaluation. As the attending nurse, you meticulously chart Ruby’s vital signs which reveal bradycardia and hypothermia. Your clinical acumen alerts you to the potential escalation of hypothyroidism into a life-threatening juncture due to her lapse in medication adherence amidst an acute illness. Given this narrative, your clinical understanding guides you to associate the omission of thyroid replacement medication, especially amidst an external stressor like the flu, with a risk of which of the following severe complications?
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Question 6 of 40
6. Question
1 point(s)In an infectious diseases ward of a tertiary care facility, you, as a seasoned nurse manager, are assigned the case of Mr. Johnson, a 34-year-old male who has been newly admitted with a diagnosis of streptococcal pharyngitis. This clinical scenario is accompanied by a constellation of symptoms including a sore throat, fever, and swollen lymph nodes. The infection control protocol at your facility necessitates the initiation of droplet precautions to mitigate the risk of transmission of pathogenic microorganisms via respiratory droplets among patients and healthcare personnel alike. With the advent of morning rounds, you engage with a multidisciplinary team to orchestrate a robust management plan for Mr. Johnson. Amid the discussion, you underscore the paramount importance of adhering to infection control measures to curb cross-contamination. This prompts a dialogue among your team regarding the nuances of droplet precaution protocol. Which of the following assertions, when voiced by a team member, mirrors an optimal understanding of the droplet precaution measures warranted in the care of Mr. Johnson?
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Question 7 of 40
7. Question
1 point(s)Within the pediatric unit of a renowned tertiary care hospital, you are charged with the post-operative care of little Timmy, a vivacious 3-year-old, who has recently been wheeled back from the recovery room following a tonsillectomy. His parents, although seasoned in navigating the healthcare labyrinth due to Timmy’s recurrent tonsillitis episodes, are visibly anxious about this surgical endeavor. Your meticulous post-operative assessment is driven by the objective to catch any deviation from the anticipated recovery trajectory at the earliest. Amidst the cacophony of monitoring alarms and intermittent cries of pediatric patients, you meticulously chart your initial post-operative findings on Timmy. Your assessment reveals the following: a frequency in swallowing, hypotonic bowel sounds, a verbalization of sore throat discomfort, and a heart rate clocking at 112 beats per minute. Which of the following clinical manifestations unraveled during your assessment warrants the most immediate and focused intervention?
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Question 8 of 40
8. Question
1 point(s)Isaiah, a 16-year-old high school student, presented to the school clinic complaining of a sore throat that began 2 days ago. He is worried as he has a big track meet the next day. Upon examination, the nurse found that he had a temperature of 101.8°F and enlarged, tender cervical lymph nodes. His pharynx is markedly erythematous with exudate. A Rapid Antigen Detection Test (RADT) for Group A Streptococcus is performed and comes back positive, confirming a diagnosis of streptococcal pharyngitis or “strep throat.” Considering the assessment data and Isaiah’s confirmed diagnosis, which of the following clinical manifestations would the nurse most likely expect?
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Question 9 of 40
9. Question
1 point(s)In a pediatric post-surgical unit, an 8-year-old boy, Elijah, is returned to his room following a tonsillectomy procedure to rectify recurrent episodes of streptococcal pharyngitis. The anesthesia is still exhibiting its effects, rendering Elijah sleepy albeit easily arousable. He has a documented history of obstructive sleep apnea. His post-operative orders include monitoring for any signs of hemorrhage and keeping his airway patent. The registered nurse assigned to Elijah’s care needs to ascertain the optimum position to facilitate respiratory function and mitigate the risk of postoperative complications such as aspiration or hemorrhage. Which of the following positions should the nurse place Elijah in?
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Question 10 of 40
10. Question
1 point(s)Following a tonsillectomy procedure, a 25-year-old female client, Amelia, is transitioned back to the medical-surgical unit from the post-anesthesia care unit (PACU). Amelia has a history of chronic tonsillitis, which prompted the tonsillectomy. On arrival to the unit, Amelia appears lethargic due to the residual effects of anesthesia and reports a sore throat, a common complaint post-tonsillectomy. The surgical protocol for post-tonsillectomy care underlines the importance of maintaining a patent airway and monitoring for hemorrhage, which could emanate from the surgical site. The medical-surgical nurse, in alignment with these priorities and the assessment of Amelia’s level of consciousness and discomfort, needs to determine the most therapeutic position for Amelia to ensure airway patency, comfort, and minimize the risk of postoperative complications such as aspiration or hemorrhage. Which of the following positions should the nurse place Amelia in?
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Question 11 of 40
11. Question
1 point(s)In a pediatric oncology unit, a 6-year-old child, Leo, is admitted with a diagnosis of Wilms tumor, stage II. Wilms tumor, also known as nephroblastoma, is a rare kidney cancer primarily found in children. The healthcare team is developing a comprehensive care plan to address Leo’s medical needs and to provide education and support for his family. The staging of Wilms tumor is vital as it guides the treatment plan and provides insight into the prognosis. The interdisciplinary team discusses the implications of a stage II diagnosis during their care conference. With reference to Leo’s stage II diagnosis of Wilms tumor, which of the following statements most accurately describes this stage?
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Question 12 of 40
12. Question
1 point(s)In the pediatric oncology ward, a 4-year-old child named Lily has been recently diagnosed with Wilms’ tumor, also known as nephroblastoma. The healthcare team, including the charge nurse, is actively engaged in a comprehensive assessment to tailor a meticulous and targeted treatment plan for Lily. Wilms’ tumor, a rare kidney cancer, predominantly manifests in children, and its early detection is crucial to augment the success rate of the treatment. During the detailed assessment, the charge nurse, employing a methodical and holistic approach, anticipates identifying certain hallmark signs associated with Wilms’ tumor. Drawing from her extensive pediatric oncology nursing experience, she meticulously examines Lily for common symptoms. Which of the following clinical manifestations would the charge nurse most likely expect to detect in Lily?
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Question 13 of 40
13. Question
1 point(s)In a specialized pediatric oncology unit, a 7-year-old patient, Noah, has been diagnosed with acute lymphoblastic leukemia (ALL) and is scheduled to commence a chemotherapy regimen as a part of his treatment plan. The pediatric oncology nursing team is meticulously preparing to administer the chemotherapy, cognizant of the potential adverse effects and the critical importance of precise administration to optimize treatment efficacy and patient safety. The charge nurse, with a well-versed knowledge in pediatric oncology nursing, is reviewing the protocol with the nursing staff to ensure a thorough understanding and adherence to the guidelines for chemotherapy administration. The discussion is comprehensive, covering a spectrum of considerations including monitoring for adverse reactions, ensuring a patent intravenous line, and being vigilant for signs of infusion-related complications. Which of the following actions, if performed by the nursing staff during the administration of chemotherapy to Noah, would be deemed inappropriate?
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Question 14 of 40
14. Question
1 point(s)Following a meticulous surgical procedure, 15-month-old David is in the pediatric surgical unit recovering from the removal of a Wilms’ tumor. The multidisciplinary healthcare team is actively engaged in a comprehensive postoperative care plan aiming to promote healing, manage symptoms, and ensure David’s comfort and well-being. Given David’s tender age, assessing pain and discomfort necessitates a keen interpretation of behavioral and physiological indicators. The nursing staff is employing validated pediatric pain assessment tools, alongside continuous monitoring of vital signs and behavioral cues. David’s parents are understandably anxious and are keen to see their child comfortable and progressing towards recovery. As part of the ongoing assessment, the nursing staff is keenly observing David for any signs indicative of his comfort level and freedom from pain, which is crucial for his overall recovery and parental reassurance. Which of the following findings would best indicate to the healthcare team that David is free from pain postoperatively?
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Question 15 of 40
15. Question
1 point(s)In a pediatric primary care clinic, Nurse Patterson is preparing to conduct a physical examination on a 2-year-old toddler, Amelia. The toddler presents with a mild cough and runny nose for two days, as reported by her mother. Amelia, being at an age characterized by curiosity yet also anxiety towards unfamiliar situations, appears uneasy about the impending examination. Nurse Patterson, having a vast experience in pediatric nursing, recognizes the importance of employing a child-friendly, systematic approach during the examination to ensure accuracy while minimizing distress for both Amelia and her anxious mother. Utilizing her in-depth understanding of child development and behavior, alongside her clinical skills, Nurse Patterson plans the sequence of the examination to foster a cooperative environment and to glean accurate assessment data. Among the following methods, which would be the most appropriate strategy for Nurse Patterson to employ while performing the physical examination on toddler Amelia?
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Question 16 of 40
16. Question
1 point(s)In a dedicated pediatric nephrology clinic, Nurse Anderson is meeting with the distressed parents of 6-year-old Emma, who has been recently diagnosed with acute poststreptococcal glomerulonephritis (APSGN). The parents are fraught with worry and seeking a deeper understanding of the illness that has befallen their child. Nurse Anderson, with a wealth of knowledge and a compassionate demeanor, embarks on an educational journey with Emma’s parents to elucidate the intricacies of APSGN, including its etiology and the nexus between antecedent infections and the onset of this renal disorder. The nurse aims to demystify the pathophysiological links, offering a semblance of clarity in a complex and challenging situation. A part of this educational endeavor involves discussing known antecedent infections that can trigger acute glomerulonephritis. Among the following infections, which one should Nurse Anderson prioritize while educating Emma’s parents regarding antecedent infections in acute glomerulonephritis?
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Question 17 of 40
17. Question
1 point(s)In an acute care medical unit, Nurse Jeremy is meticulously evaluating the fluid balance of Mr. Thompson, a 72-year-old male client with a history of congestive heart failure and recently diagnosed acute kidney injury. It’s crucial for Nurse Jeremy to ensure that Mr. Thompson’s fluid intake and output are closely monitored and managed to prevent any further deterioration of his renal and cardiac functions. The medical team has crafted a meticulous fluid management plan to optimize Mr. Thompson’s renal perfusion while preventing fluid overload which could exacerbate his heart failure. As part of this endeavor, Nurse Jeremy is tasked with educating Mr. Thompson and his family about the importance of fluid balance and how it should ideally be maintained. Amidst this backdrop, Nurse Jeremy is keen on elucidating the standard relationship between fluid intake and urine output to Mr. Thompson’s family to foster better understanding and compliance with the fluid management plan. Which of the following statements should Nurse Jeremy utilize to explain the typical relationship between fluid intake and urine output?
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Question 18 of 40
18. Question
1 point(s)Amidst a hectic morning shift at the pediatric nephrology unit, Nurse Kai is assigned to closely monitor the progress of 7-year-old Isabella who has been grappling with acute post-streptococcal glomerulonephritis (APSGN) for the past week. The medical team has been steadfastly managing her condition with a regimen of antibiotics, corticosteroids, and supportive measures. The parents, although distressed, are showing unwavering support and are keenly interested in understanding the trajectory of their daughter’s recovery. They are closely observing Isabella and are yearning for any positive sign indicating an improvement in her condition. Nurse Kai, with his expertise, knows that certain clinical manifestations may herald improvement in APSGN. He meticulously evaluates Isabella’s clinical parameters and discusses the findings with the medical team and the parents. During his next interaction with Isabella’s parents, Nurse Kai plans to explain the significance of certain clinical findings as potential early signs of improvement in APSGN. Among the following findings, which one does Nurse Kai identify as the earliest sign of improvement in a child with acute post-streptococcal glomerulonephritis?
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Question 19 of 40
19. Question
1 point(s)On a brisk autumn morning, the pediatric renal unit at a bustling metropolitan hospital receives a new admission, 16-year-old Liam. He has been feeling unwell for the past few days, exhibiting an array of symptoms that have left him fatigued and his parents exceedingly anxious. His primary care physician, after a preliminary evaluation, is inclined towards the diagnosis of acute glomerulonephritis (AGN) and thus, orchestrates an immediate hospital admission for a comprehensive assessment and management. Upon arrival, Liam is welcomed by Nurse Addison, who is well-versed in managing pediatric renal ailments. The multidisciplinary medical team promptly swings into action, spearheaded by the seasoned pediatric nephrologist, Dr. Harper. A plethora of tests is lined up to ascertain the root cause of Liam’s illness and to formulate an efficacious treatment blueprint. Nurse Addison is cognizant of the quintessential hallmarks of AGN and is meticulously observing Liam’s clinical presentation to glean valuable insights that would corroborate Dr. Harper’s preliminary diagnosis. Amid this backdrop, a series of lab tests and a 24-hour urine collection are underway. Dr. Harper, in his teaching rounds, engages the resident doctors and nurses in a cerebral discussion surrounding the characteristic findings one would anticipate in a case of acute glomerulonephritis. He presents the following findings and spurs a discussion on which of these are consistent with AGN. Note: More than one answer may be correct.
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Question 20 of 40
20. Question
1 point(s)In a quaint rural town nestled amidst sprawling meadows, there resides a small yet well-equipped community healthcare facility. It’s a serene spring morning when Nurse Abigail receives a call regarding the impending admission of an 8-year-old boy, Oliver. Oliver had been suffering from a sore throat about two weeks ago, which seemed to resolve spontaneously. However, over the past few days, he has been feeling progressively fatigued, and his mother noticed puffiness around his eyes and swollen ankles. As the day unfolds, Oliver, accompanied by his apprehensive parents, arrives at the healthcare facility. The chief physician, Dr. Mitchell, after a preliminary examination, suspects acute glomerulonephritis (AGN) given the child’s recent history of a throat infection and current symptoms. He decides to orchestrate a battery of investigations to ascertain the diagnosis. Nurse Abigail, poised and diligent, sets forth to educate Oliver’s parents about the possible etiology of AGN while awaiting the investigative results. She elaborates on certain conditions and infections that could potentially culminate in AGN, hoping to provide the distressed parents with some context regarding their child’s ailment. Dr. Mitchell, keen on enriching the clinical acumen of his medical team, gathers his young resident physicians and nurses, including Nurse Abigail, for a teaching session. He propounds the following question to incite a discussion on the common antecedents of AGN, focusing on identifying the most common cause: Which of the following conditions most commonly causes acute glomerulonephritis?
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Question 21 of 40
21. Question
1 point(s)A 68-year-old male patient, with a history of esophageal cancer, has recently undergone a total esophagectomy and has a gastrostomy tube (G-tube) inserted for enteral nutrition. He has also been experiencing episodes of gastroesophageal reflux. The nurse is about to initiate a continuous tube feeding regimen per the healthcare provider’s order. Before starting the continuous feeding, the nurse should place the client in which position to minimize the risk of aspiration and promote gastric emptying?
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Question 22 of 40
22. Question
1 point(s)A 56-year-old female patient with a history of motor neuron disease has been admitted to the neurology ward. Due to her progressive dysphagia, a gastrostomy tube (G-tube) has been inserted to maintain her nutritional status and administer necessary medications. The nurse received a medication order from the physician, including a prescription for an extended-release tablet. The nurse needs to clarify the order and consider the appropriate administration method through the G-tube. Which of the following types of medications can be safely administered via gastrostomy tube?
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Question 23 of 40
23. Question
1 point(s)A 72-year-old male patient with a history of chronic obstructive pulmonary disease (COPD) and smoking recently underwent a lower lobectomy to remove a malignant tumor. The nurse is tasked with providing postoperative care to minimize the risk of wound infection, especially given the patient’s compromised pulmonary function and history of tobacco use. The nursing interventions aim to prevent any infection that could further compromise the patient’s respiratory status and overall recovery. Which of the following measures is the most crucial to prevent postoperative wound infection in this surgical patient?
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Question 24 of 40
24. Question
1 point(s)Clinical Scenario: A 78-year-old male patient with advanced Parkinson’s disease recently had a gastrostomy tube (G-tube) placed due to progressive dysphagia and risk of aspiration. His daughter, a primary caregiver, received teaching from the home health nurse regarding the management of the G-tube and the administration of enteral nutrition at home. Two days later, during the follow-up visit, the nurse evaluates the daughter’s understanding of the G-tube care and management to ensure the patient’s safety and prevent complications. Which statement made by the family member caring for the client with a gastrostomy tube indicates an understanding of the nurse’s teaching? Select all that apply.
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Question 25 of 40
25. Question
1 point(s)A 65-year-old male with a history of poorly controlled diabetes mellitus is admitted to the wound care unit due to an ulcer on his right lower extremity. The wound culture revealed Methicillin-resistant Staphylococcus aureus (MRSA). The wound care team initiated an aggressive treatment plan including wound debridement, antibiotic therapy, and patient education on maintaining skin integrity to prevent further infections. The hospital’s infection control team is focusing on breaking the chain of infection to control and prevent the spread of MRSA within the unit. Which element in the circular chain of infection can be eliminated by preserving skin integrity?
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Question 26 of 40
26. Question
1 point(s)Inigo, a 21-year-old college student, presents to the campus health clinic with a 2-day history of sore throat, difficulty swallowing, and fever. He mentions that two of his roommates had similar symptoms last week. Upon examination, the nurse notes that Inigo appears fatigued and has swollen cervical lymph nodes. The healthcare provider suspects a case of streptococcal pharyngitis (strep throat) and orders a rapid antigen detection test (RADT) which comes back positive for Group A Streptococcus. With this diagnosis confirmed, the nurse anticipates certain clinical manifestations in Inigo. Which clinical manifestation would the nurse expect to find in a client diagnosed with “strep throat”? Select all that apply.
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Question 27 of 40
27. Question
1 point(s)A 35-year-old female patient, Mrs. Jackson, was recently admitted to the medical-surgical floor with a diagnosis of streptococcal pharyngitis. The admitting physician, Dr. Smith, prescribed penicillin to manage the infection. Nurse Johnson, who is responsible for administering medications on the floor, didn’t notice the documented penicillin allergy on Mrs. Jackson’s chart. She administered the medication as per the physician’s order. Shortly after administration, Mrs. Jackson developed an allergic reaction with rash, itching, and shortness of breath. Upon realizing the mistake, Nurse Johnson immediately informed the physician, administered an antihistamine as ordered, and monitored Mrs. Jackson until her symptoms subsided. A review of the incident is being conducted to understand the legal responsibility surrounding the medication error. Which among the following is the legal responsibility for the error?
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Question 28 of 40
28. Question
1 point(s)A 12-year-old boy, Timmy, presents to a pediatric clinic accompanied by his parents. He has a history of recurrent sore throat infections over the past 6 months. His mother reports that although they initially completed antibiotic courses, the last two times, Timmy only took antibiotics for a couple of days until he felt better, and they still have the leftover medication at home. Upon examination, the healthcare provider notes erythema and exudate in Timmy’s pharynx along with tender, enlarged cervical lymph nodes. A rapid antigen detection test (RADT) confirms the presence of Group A beta-hemolytic streptococci (GABHS). Given Timmy’s history of inadequate antibiotic treatment, the healthcare provider is concerned about the potential complications that may arise from repeated, partially treated GABHS infections. Which of the following conditions is a known complication that may result from unresolved or partially treated GABHS infection?
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Question 29 of 40
29. Question
1 point(s)You are a nurse on a pediatric unit, and are assigned to care for Tommy, an 8-year-old boy with a severe bacterial lung infection. Tommy has been receiving intravenous antibiotics for the past 10 days. During the morning assessment, Tommy mentions that he has been having frequent watery stools since the previous evening. You recall that antibiotic-associated diarrhea, particularly caused by Clostridium difficile, is a common problem in hospitalized patients. Keeping Tommy’s comfort and the safety of other patients in mind, you need to decide the appropriate initial action to manage this new symptom.
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Question 30 of 40
30. Question
1 point(s)Mrs. Maria Johnson, a 62-year-old woman with a recent diagnosis of pharyngitis, has been admitted to your medical ward. Due to her diagnosis and potential to spread the infection, the infection control team has advised placing her under droplet precautions until further notice. During the shift, you overhear a conversation between a new graduate nurse and a seasoned nurse discussing the droplet precautions implemented for Mrs. Johnson. As their charge nurse, you decide to evaluate their understanding of droplet precautions to ensure the safety and well-being of both the patient and the healthcare team. You gather the two nurses and ask them to clarify their understanding of droplet precautions. Which of the following statements, if made by the new graduate nurse, indicates the best understanding of this type of isolation?
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Question 31 of 40
31. Question
1 point(s)You are a pediatric nurse caring for a 6-year-old child named Sophia who has been diagnosed with thalassemia major. Due to her condition, she requires regular blood transfusions which over time have led to iron overload. The physician has prescribed deferoxamine (Desferal) to manage her iron levels and mitigate the risks associated with iron overload. You administer the drug as per the prescription. A few hours later, you conduct a routine assessment to monitor her response to the medication and identify any potential side effects or adverse reactions that may warrant medical attention. In the process, you’re looking out for any signs that may require notifying the physician. Which of the following observations, if made during your assessment, should alert you to notify the physician?
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Question 32 of 40
32. Question
1 point(s)You are a healthcare provider at a specialty clinic dedicated to the management and treatment of hereditary hematological disorders. Today, you are conducting a follow-up assessment on a 16-year-old male patient named Antonio, who has been living with Thalassemia Major. His medical journey has been a mix of multiple blood transfusions, iron chelation therapy, and other symptomatic treatments aimed at managing his condition and maintaining a decent quality of life. During your discussion, Antonio’s parents express concern regarding the long-term complications associated with Thalassemia Major that could affect their son’s life. They are especially worried about how these complications might impede his growth, organ function, and overall developmental milestones. Based on Antonio’s medical history and the inherent pathological mechanism of Thalassemia Major, you are to identify the most concerning long-term complication associated with his condition from the following options:
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Question 33 of 40
33. Question
1 point(s)You are a seasoned nurse in a pediatric hematology ward. Today, you are assigned to care for 7-year-old Luca, who has β-thalassemia major. Due to his condition, Luca requires regular blood transfusions to manage his anemia. Over time, these transfusions have led to an accumulation of iron in his body, posing a risk for iron-induced organ damage. His hematologist has decided to initiate iron chelation therapy alongside his transfusion regimen to mitigate the risks associated with iron overload. As part of a multidisciplinary team, you are tasked with administering the chelation therapy and educating Luca’s parents about the medication that will be used to bind and expel the excess iron from Luca’s body. Given the situation, identify the appropriate medication for iron chelation therapy in β-thalassemia from the list below:
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Question 34 of 40
34. Question
1 point(s)You are a registered dietitian in a primary healthcare clinic. Today, you are reviewing the case of Sophia, a 34-year-old female who has recently adopted a vegetarian lifestyle for ethical reasons. During her clinic visit, routine blood work reveals that Sophia’s hemoglobin concentration stands at 10.8 g/dL, which is slightly lower than the normal range for adult females (11.1 to 15.7 g/dL). During the consultation, Sophia emphasizes her commitment to adhering to a vegetarian diet and is looking for advice to ensure her nutritional needs are met, particularly concerning her iron intake, which may be implicated in her decreased hemoglobin levels. Given her dietary restrictions and current hemoglobin levels, what would be the most appropriate nutritional advice to provide to Sophia?
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Question 35 of 40
35. Question
1 point(s)Nurse Hazel is working in an oncology unit and is currently administering a blood transfusion to Mrs. Davenport, a 54-year-old female client with acute myeloid leukemia (AML). Mrs. Davenport has a history of multiple transfusions. Today, she’s receiving her second unit of packed red blood cells due to a hemoglobin level of 6.8 g/dL. Halfway through the infusion, Mrs. Davenport complains of lumbar pain which she describes as sudden and severe. Nurse Hazel immediately stops the transfusion and follows the protocol for suspected transfusion reactions. Based on the given scenario, what should Nurse Hazel do next?
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Question 36 of 40
36. Question
1 point(s)You are a pediatric nurse working in a community clinic which primarily serves low-income, high-risk populations. Your day is typically filled with prenatal consultations, well-baby checkups, and parent education sessions. Today, you have been discussing sudden infant death syndrome (SIDS) prevention with new parents. Several parents have come with their infants for well-baby checkups and you observed the different sleep positions and environments for each infant. You are to assess which infant is least likely to develop SIDS based on the provided background information. Given the following information, choose the infant least likely to develop SIDS:
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Question 37 of 40
37. Question
1 point(s)You are a pediatric nurse at a community health clinic, providing prenatal and postnatal education to families. Today, you are facilitating a parent group focusing on infant care. During the session, you are discussing various aspects including sleep safety, feeding, and developmental stimulation. You present several actions and ask the group to identify which action is NOT appropriate for a 2-month-old infant. Given the following options, select the action that is NOT appropriate for the care of a 2-month-old infant:
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Question 38 of 40
38. Question
1 point(s)It is a brisk autumn morning at the urban community health clinic where you work as a pediatric nurse. Today, you are assigned to provide postnatal education to a young first-time mother who recently gave birth to a healthy newborn girl. The mother, Ms. Patterson, is eager to learn but expresses concerns about sudden infant death syndrome (SIDS) since her close friend experienced this tragedy last year. As part of the comprehensive education, you want to ensure Ms. Patterson understands the safest sleep positions for her newborn, especially after nursing. You present Ms. Patterson with the following positions, asking her to identify the safe positions to place the baby after nursing to prevent SIDS. Select all that apply.
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Question 39 of 40
39. Question
1 point(s)You are a pediatric nurse at a bustling city hospital. Today, you are assigned to the infant care unit. Mrs. Walker, a worried first-time mother, comes to you expressing deep concerns about sudden infant death syndrome (SIDS) affecting her 3-month-old son, particularly since she recently read a distressing article about a local SIDS case. She is seeking information on the age range when infants are at the highest risk for SIDS to better understand and potentially mitigate the risk for her son. Given Mrs. Walker’s concerns, you decide to elucidate on the age range predisposition for SIDS with the following options:
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Question 40 of 40
40. Question
1 point(s)Amid an ongoing economic recession, a small town has seen a significant uptick in community stress levels, manifesting in increased cases of anxiety and depression among its residents. In response, the local healthcare department has coordinated a community outreach program focused on stress management and coping mechanisms. A group of volunteer nurses have been tasked to lead interactive sessions with the community members. During a breakout session, a perplexed participant named Mary, who recently lost her job and is struggling to support her family, seeks guidance on effectively coping with stress. The nurses prepare to explain different beliefs and methods that can help individuals cope with stressful life events. They developed a questionnaire to gauge the participants’ understanding of stress management principles post-session. Which belief, as a method of coping with stressful life events, would the nurses most likely advocate for during the session?
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